Journal article
A Mechanical Evaluation of Zone II Flexor Tendon Repair Using a Knotless Barbed Suture Versus a Traditional Braided Suture
The Journal of hand surgery (American ed.), v 40(7), pp 1355-1362
01 Jul 2015
PMID: 26050207
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To determine repair site bulk, gliding resistance, work of flexion, and 1-mm gap formation force in zone II flexor tendon lacerations repaired with knotless barbed or traditional braided suture.
Transverse zone II lacerations of the flexor digitorum profundus (FDP) tendon were created in 36 digits from 6 matched human cadaveric pairs. Repair was performed with 2-0 barbed suture (n = 18) or 3-0 polyethylene braided suture (n = 18). Pre- and postrepair cross-sectional area was measured followed by quantification of gliding resistance and work of flexion during cyclic flexion-extension loading at 10 mm/min. Thereafter, the repaired tendons were loaded to failure. The force at 1 mm of gap formation was recorded.
Repaired FDP tendon cross-sectional area increased significantly from intact, with no difference noted between suture types. Gliding resistance and work of flexion were significantly higher for both suture repairs; however, we identified no significant differences in either nondestructive biomechanical parameters between repair types. Average 1-mm gap formation force with the knotless barbed suture (52 N) was greater than that of the traditional braided suture (43 N).
We identified no significant advantage in using knotless barbed suture for zone II FDP repair in our primary, nondestructive mechanical outcomes in this in vitro study.
In vivo studies may be warranted to determine if one suture method has an advantage with respect to the parameters tested at 4, 6, and 12 plus weeks postrepair and the degree of adhesion formation. The combined laboratory and clinical data, in additional to cost considerations, may better define the role of barbed knotless suture for zone II flexor tendon repair.
Metrics
Details
- Title
- A Mechanical Evaluation of Zone II Flexor Tendon Repair Using a Knotless Barbed Suture Versus a Traditional Braided Suture
- Creators
- Aniruddh N. Nayak - Foundation for Orthopaedic Research and EducationDzi-Viet Nguyen - Florida Orthopaedic InstituteRobert C. Brabender - Florida Orthopaedic InstituteMatthew E. Hiro - Emory UniversityJeremy J. Miles - University of South FloridaIan R. Smithson - University of South FloridaBrandon G. Santoni - Foundation for Orthopaedic Research and EducationJeffery D. Stone - Florida Orthopaedic InstituteAlfred V. Hess - Florida Orthopaedic Institute
- Publication Details
- The Journal of hand surgery (American ed.), v 40(7), pp 1355-1362
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Orthopedic/Orthopaedic Surgery
- Web of Science ID
- WOS:000357911500011
- Scopus ID
- 2-s2.0-84931957500
- Other Identifier
- 991021897410404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics
- Surgery